内科

目的探究柴胡加龙骨牡蛎汤联合针刺、推拿治疗孤独症患儿的治疗效果。方法选取122例孤独症患儿作为研究对象，将其随机分为观察组和对照组，每组61例。对照组患儿行针刺和推拿治疗，观察组患儿在对照组基础上加用柴胡加龙骨牡蛎汤治疗，两组患儿均治疗3个月。比较两组患儿治疗前后的儿童孤独症评定量表（CARS）评分、孤独症行为检查量表（ABC）评分、Gesell发育量表评分、自拟症状量表评分，以及治疗总有效率。结果治疗前，两组患儿的CARS、ABC评分差异均无统计学意义（均P＞0.05）；治疗3个月后，观察组的CARS、ABC评分均低于对照组（均P＜0.05）。治疗前，两组患儿Gesell发育量表的适应性行为、大运动、个人-社交、精细动作、语言方面评分差异均无统计学意义（均P＞0.05）；治疗3个月后，观察组患儿Gesell发育量表的适应性行为、大运动、个人-社交、精细动作、语言方面评分均高于对照组（均P＜0.05）。治疗前，两组患儿的自拟症状量表总分及其胃肠道、情绪、睡眠方面评分差异均无统计学意义（均P＞0.05）；治疗3个月后，观察组患儿的自拟症状量表总分及其胃肠道、情绪、睡眠方面评分均低于对照组（均P＜0.05）。治疗3个月后，观察组患儿的治疗总有效率（86.89%）高于对照组（65.57%）（P＜0.05）。结论柴胡加龙骨牡蛎汤联合针刺、推拿治疗孤独症患儿效果较好，可有效地改善患儿临床症状，提高其语言与行动能力。

ObjectiveTo explore the therapeutic effect of Chaihu plus longgu muli decoction combined with acupuncture and massage in the treatment of children with autism. MethodsA total of 122 children with autism were selected as research subjects, and they were randomly divided into an observation group or a control group, with 61 cases in each group. Children in the control group were treated with acupuncture and massage, based on which those in the observation group were treated with additional Chaihu plus longgu muli decoction, and both groups were treated for 3 months. The Childhood Autism Rating Scale (CARS) score, Autism Behavior Checklist (ABC) score, Gesell Developmental Schedules score, and self-made symptom scale score before and after treatment, as well as the total effective rate of treatment were compared between the two groups. ResultsBefore treatment, there was no statistically significant difference in the score of CARS or ABC between the two groups (all P＞0.05), while after 3 months of treatment, the CARS and ABC scores in the observation group were lower than those in the control group (all P＜0.05). Before treatment, there was no statistically significant difference in the score of adaptive behavior, large movement, personal social, fine motor or language of Gesell Developmental Schedules between the two groups (all P＞0.05), while after 3 months of treatment, the scores of adaptive behavior, large movement, personal social, fine motor and language of Gesell Developmental Schedules in the observation group were higher than those in the control group (all P＜0.05). Before treatment, there was no statistically significant difference in the total score of self-made symptom scale or its gastrointestinal, emotional or sleep score between the two groups (all P＞0.05), while after 3 months of treatment, the total score of self-made symptom scale and its gastrointestinal, emotional and sleep scores in the observation group were lower than those in the control group (all P＜0.05). After 3 months of treatment, the total effective rate of treatment in the observation group (86.89%) was higher than that in the control group (65.57%) (P＜0.05). ConclusionChaihu plus longgu muli decoction combined with acupuncture and massage has a good effect in the treatment of children with autism, which can effectively improve their clinical symptoms, as well as the language and mobility abilities.